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Country variations in depressive symptoms profile in Asian countries: Findings of the Research on Asia Psychotropic Prescription (REAP) studies
Chee K.-Y.6; Tripathi A.15; Avasthi A.21; Chong M.-Y.13; Xiang Y.-T.24; Sim K.17; Si T.-M.19; Kanba S.18; He Y.-L.20; Lee M.-S.8; Fung-Kum Chiu H.14; Yang S.-Y.7; Kuga H.18; Udormatn P.23; Kallivayalil R.A.1; Tanra A.J.22; Maramis M.11; Grover S.21; Chin L.-F.2; Dahlan R.4; Mohamad Isa M.F.5; Ebenezer E.G.M.12; Nordin N.3; Shen W.W.16; Shinfuku N.10; Tan C.-H.9; Sartorius N.
2015-09-01
Source PublicationAsia-Pacific Psychiatry
ISSN17585872 17585864
Volume7Issue:3Pages:276-285
Abstract

Introduction: This study was to assess differences in the symptom profile of depressive illness across various countries/territories in Asia. The study was a part of the Research on Asia Psychotropic Prescription project. The participating countries/territories include China, Hong Kong, India, Indonesia, Japan, Korea, Malaysia, Singapore, Taiwan, and Thailand. Methods: The pattern of depressive symptoms in 1,400 subjects with depressive disorder from 42 psychiatric centers in 10 Asian countries/territories was assessed. We collected information on socio-demographic and clinical characteristics with a standardized protocol and data collection procedure. Results: The most common presentations of depressive symptoms were persistent sadness, loss of interest, and insomnia. Similar findings were found regardless of the region, country, or its income level. Patients with depressive disorder from high-income countries presented significantly more with vegetative symptom cluster (P<0.05), while those from the upper middle-income countries had significantly more with both mood (P<0.001) and cognitive symptom clusters (P<0.01). In lower middle-income countries, patients with depressive symptoms had significantly less mood symptom cluster (P<0.001) but significantly more cognitive symptom cluster (P<0.05). Discussion: This study demonstrates that in Asia, despite variations in the initial symptom reported by the patients, across different countries/territories, core depressive symptoms remain the same. Variations have been found in presentation of depressive symptoms with regards to the level of income of countries. Physical or vegetative symptoms were reported more by centers in higher income countries, while depressive cognition and suicidal thoughts/acts were more frequently reported from lower income countries.

KeywordAsian Income Region Transcultural Psychiatry
DOI10.1111/appy.12170
URLView the original
Indexed BySCI
Language英语
WOS Research AreaPsychiatry
WOS SubjectPsychiatry
WOS IDWOS:000358175200006
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Cited Times [WOS]:6   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionFaculty of Health Sciences
Affiliation1.Pushpagiri Medical College
2.Hospital Tengku Ampuan Rahimah
3.Mesra Hospital
4.Hospital Kajang
5.Hospital Sultan Abdul Halim
6.Kuala Lumpur Hospital
7.Taipei City Hospital Taiwan
8.Korea University
9.National University of Singapore
10.Kobe University
11.Universitas Airlangga
12.Universiti Kuala Lumpur
13.Chang Gung University
14.Chinese University of Hong Kong
15.Chhatrapati Shahuji Maharaj Medical University
16.Taipei Medical University
17.Singapore Institute of Mental Health
18.Kyushu University
19.Peking University
20.Shanghai Mental Health Center
21.Postgraduate Institute of Medical Education and Research
22.Hasanuddin University
23.Prince of Songkla University
24.Universidade de Macau
Recommended Citation
GB/T 7714
Chee K.-Y.,Tripathi A.,Avasthi A.,et al. Country variations in depressive symptoms profile in Asian countries: Findings of the Research on Asia Psychotropic Prescription (REAP) studies[J]. Asia-Pacific Psychiatry,2015,7(3):276-285.
APA Chee K.-Y..,Tripathi A..,Avasthi A..,Chong M.-Y..,Xiang Y.-T..,...&Sartorius N..(2015).Country variations in depressive symptoms profile in Asian countries: Findings of the Research on Asia Psychotropic Prescription (REAP) studies.Asia-Pacific Psychiatry,7(3),276-285.
MLA Chee K.-Y.,et al."Country variations in depressive symptoms profile in Asian countries: Findings of the Research on Asia Psychotropic Prescription (REAP) studies".Asia-Pacific Psychiatry 7.3(2015):276-285.
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